Spanish Meadows

In the surveyor’s words

From the most serious findings on record at Spanish Meadows, in the surveyor’s own words.

• Immediate jeopardy, isolatedF689Nov 26, 2024

  Based on observations, interviews, and record review the facility failed to ensure adequate supervision was provided to prevent accidents for 1 of 5 residents (R #1) reviewed for supervision. The facility failed to ensure R #1 received adequate supervision as R #1 eloped from the facility without anyone's knowledge on 11/21/24 between 2:30AM-3:00AM and was found by RT A when R #1 was reentering the facility. R #1 was out of the facility for approximately 8 minutes before RT A saw him reenter the facility. […]

• Actual harm, isolatedF689Dec 19, 2022

  Based on observtion, interview and record review, the facility failed to provide adequate supervision for one Resident (Resident #1) of 12 residents reviewed for accidents and hazards, in that. Resident #1, who required the assistance of two persons for bed mobility and toileting, sustained a laceration requiring twelve sutures when provided care by only one CNA. This failure could place residents at risk of serious injury. The noncompliance was identified as past non compinace. The noncompliance began on 12/01/22 and ended on 12/05/22. […]

• No harm, potential for more than minimal, patternF812Jan 29, 2026

  Based on observation, interviews and record review, the facility failed to store, prepare, distribute, and serve food in accordance with professional standards for food service safety for 1 of 1 kitchen reviewed for storage, preparation, and sanitation.2.The facility failed to label and date 4 cans of evaporated milk stored in the dry storage area.3.The facility failed to ensure that 4 oz. cups of sherbert stored in the freezer were labeled and dated.These failures could place residents who store food items in resident refrigerators and who receive meal and/or snacks from the kitchen at risk for cross contamination if consumed and food-borne illnesses if consumed.The findings included:2. […]

• No harm, potential for more than minimal, patternF842Sep 16, 2025

  Based on interview and record review, the facility failed to maintain clinical records in accordance with accepted professional standards and practices that are complete and accurately documented for 1 of 3 residents (Resident #2) reviewed for medical records accuracy, in that: The facility failed to document Resident #2's physician ordered weekly skin assessment from 12/26/24 through 02/27/25 for a total of 10 out of 10 skin assessments that were not documented. This failure could affect residents whose records are maintained by the facility and could place them at risk for errors in care, and treatment. […]

• No harm, potential for more than minimal, patternF802Oct 24, 2024

  Based on interview and record review, the facility failed to employ staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service for 5 of 11 dietary staff (Dietary Staff M, N, P, Q, and R) reviewed for food and nutrition services. The facility did not ensure Dietary Staff M, N, P, Q, and R had a current food handlers' certificate while working in the facility's kitchen. This failure could place residents who consumed food prepared from the kitchen at risk of food-borne illness. Findings included: Record review of the 11 Dietary Staff food handler's certificates revealed 5 of them (Dietary Staff M, N, P, Q, and R) did not have a food handler's certificate prior to 10/21/2024. […]